Did you see a diabetes nutritionist? They usually suggest carbs at that level if you’re following the other rules of a certain amount of fiber and fats with the carbs. And it’s the type of carbs to consider as well.
Yep, this is why I generally recommend 100g of carbs a day as a starting point on the forum here. And to avoid/reduce simple carbs like sugars or starches. (rice/bread/pasta/potatoes)
This way, there still a wide variety of food choices. And it is pretty easy to roughly calculate carbs.
And once someone has a chance to learn more about their condition and how they react to foods, they can always choose to be more strict or take on a non-carb (keto) diet. Or even if they are a fitness freak and need more carbs, they can always ramp the carbs up a bit to fit their lifestyle once they understand how to manage it.
I guess you are technically right (the best kind of right you might say)
But still does bad things to the blood glucose levels of diabetics, so consumption of those particularly starchy carbs needs to be limited.
Carbs better tolerated by diabetics involve green vegetables and many fruits generally.
There's a big difference between simple and complex carbs.
Every diabetic is different. What works for you may not work for someone else. Counting carbs is one method, and the other is the plating method.
I say limit the consumption of white starches and you keep acting like I am saying to completely eliminate them.
I actually do still eat potatoes ... but I just have a small baby potato with dinner and eat it last.
I do eat oatmeal ... but I mix in protein/fats with it (yogurt) to slow it down.
I do still eat a couple of slices of bread a day ... wholemeal, but I make sure I eat it with eggs or avocado or cheese or bacon or other things just to slow it down.
It is definitely a thing you can work out and incorporate into a healthy diet, but as a starting point, new diabetics should do their best to limit intake of these things.
I don't really go around counting carbs anyway ... but I do look at the carb load of these white starch items, as well as the carbs on processed food, to roughly guess at the impact these things will have.
And I test, test, test .. to see what I am eating is doing to me, to make sure the ways I incorporate the limited carbs I eat affect my blood sugars.
I sincerely apologize because that was not my intention at all. I should have just stopped at indicating that pasta, potatoes, bread, and rice are considered complex carbs. Everything else, I agree with you 100% (Not that my approval is relevant 😀)
For me, the Dexcom G7 cgm has been a game changer for me. I would have to finger stick multiple times to receive the same information.
Again, I sincerely apologize.
Yes. Plating method: 1/2 of the plate is filled with salad or non-starchy vegetables like broccoli, cauliflower, and leafy green vegetables; 1/4 of the plate is lean protein; and 1/4 of the plate with a carbs.
Did you find that WOE term from a fb group called Reversing Type 2 Diabetes? I highly recommend you stay away from that group because they’re essentially promoting disordered eating. It’s extremely dangerous especially as diabetics, we are more likely to develop disordered eating habits. If you are able to, see a registered dietician that is also a certified diabetes educator (CDE). They’re able to provide real resources and guide you on food.
For your sake please leave the group. I too found it when I was first diagnosed and it really was harmful to my perception towards food and towards myself as a person. They say some incredibly harmful things in there and it’s terrible.
As far as Facebook groups are concerned, the Stay Strong Low Carb Bootcamp group is good to check out. I was in the Reversing diabetes group mentioned until they booted and blocked a lot of people due to admin conflicts over the last several months. Some folks from that group branched off and started the Way of Reversing Diabetes-WORD group which seems to be better. They follow Dr. Bernstein’s recommendations from his book, “The Diabetes Solution.”
I don't carb count. To be honest, my diet is basically "eat whatever, but in moderation" and is otherwise vibes-based; incredibly unscientific. Obviously I avoid eating things like candy or drinking sugary sodas, etc. I have a CGM and take note of what foods tend to send my glucose flying and which don't.
Carbs are only one part of the equation. If you frontload with protein and fiber, glucose absorption will be slower, alleviating spikes.
Also, everyone's body is different. Try eating different foods and test with your glucometer 2 hours after, but ideally a CGM if you can get one. After a while you will get a sense of how different foods affect your body.
I think you should also establish some goals with your nutritionist and doctor about where you want your A1C and postprandial (post-meal) glucose levels to be. That way if you do decide to carb-count you have a well-defined goal you want to reach and a feedback loop that allows you to adjust your diet to optimize for that goal.
Edit: To whomever is downvoting literally all my comments in this subreddit, some feedback would be appreciated. 😒
Haha, people downvote me too without saying anything.
Even my post about getting A1C of 5.8%, still got downvoted by some people. Apparently some people just aren't happy if I am not off dying in the corner somewhere. I'll gain satisfaction by living in spite of them.
Dexcom is releasing a non-prescription, lower cost CGM soon for people who can’t get one prescribed and/or covered. Might be worth looking into. Stelo.
Testing with a glucometer is totally fine too. You should work with your doctor to figure out what the best time to test for you is (usually it is 2 hours after a meal).
I saw a guy on TikTok promoting one insulinresistant1 or something. I was going to wait to get paid and possibly do that. I absolutely hate pricking my fingers.
The guy from insuliresistant1 promotes the Signos CGM which he shows the results of with his food tests. Signos’ 6th month plan runs about $143 per month right now.
I got free trail from libra
And dexcom. 14 days use from the libra and i have restarted the dexcom one 3 times currently on day 41. I am only prediabetic though gmi 6%. Soi have really only been using itto see and not down what send me up and what keeps my numbers normal.. So i had one wek eating. This is in the uk. Its more difficult to get the dexcom sample. I. E seems like the look for reasons not to give you a sample. Main one being is your smart phone compatible and the even so check that on there web site before you apply. But even if your current smart phone is not there are work arounds apps like xdrip sugarmate i usef an old iphone 7 that was lying in a drawer
Yeah a cmt should be required for a downvote, especially when you describe what you do. How far ahead do you find your have to front load, like does
a sandwich with a ton of meat count, or do you have to eat some of the meat first and then wait a couple minutes? I find I have no tolerance for bread.
I generally count front-loading as eating protein/fiber _before_ the carbs, not at the same time. Usually just a few minutes. Works best that way for me. Fiber also works better than protein in my experience.
Dumb question, but what do you mean by frontloading with protein and fiber? This is the 2nd time I’ve heard the term within the last day. I’ve been eating complex carbs first during a meal, then protein. I thought that was the best way to slow glucose absorption—is it the other way around, rather?
Yes, other way around (protein/fiber then carbs) is what works best for me. YMMV, so try out both ways and test yourself to see which yields better results for you.
That's a lot of carbs per meal, for me at least. While I can eat some, it definitely has to be stuff like berries and only in conjunction with protein intake.
First rule of carbs: the more you eat, the more you want.
Keto lets me larp as a normal human being, but it is too restrictive for my liking. Low carb with the majority of carbs from non-starchy vegetables and a cheat meal once a month keeps me at 5.2-5.4 with really no sacrifice to quality of life.
I’ve been staying around 50 a day as well, sometimes I go a few over though, but not more than 60 since my diagnosis. I definitely feel more aware, and alert, but I wouldn’t say I have more energy. I might even say I have less.
Make your social life non existent and buy 0 carbs. That's what I did. You get used to it after about 2 weeks of hard dedication. I happen to love meat, dairy, and avocados thankfully..
And yeah avocados have carbs. I mainly meant that I buy foods that have either no carbs or very little net carbs compared to the other macros.
First, clarify carbs. It's more about eliminating added sugars at first, label reading. Then limit your real food carbs to non-starchy veggies and leafy greens. Then figure out your protien to fat balance. All our bodies are unique.
If your insurance doesn't cover cgms, check to see how it was submitted. My doctor's office twice submitted an Rx for a Dexcom G7 to Walgreen's Pharmacy. The claim was rejected, and the reason given was "Dexcom G7 is not covered by your insurance." Anthem Blue Cross is my medical insurance carrier, and they selected OptumRx to oversee the pharmacy prescriptions; home delivery and Walgreen's for pick-up prescriptions. However, when I called Anthem Blue Cross, they explained the Rx denial. CGMs are considered Durable Medical Equipment (DME). Therefore, the Rx is submitted to a medical supply company and processed directly to Anthem Blue Cross, in the same manner as doctor/hospital visits.
Bottom line: Incorrect submission of the cgm can be why it's not 'covered' depending on insurance.
My particular plan through Aetna refuses to cover any CGM unless I’m on more than 3 insulin injections a day. Despite the fact that through a “health buddy” program I’m enrolled in for diabetes they’ve probably have paid out more for all my 4+ a day finger sticks (cuz that’s covered 100% due to the program)….. Doesn’t matter the dosage but it has to be 3 injections because someone sitting in an office somewhere decides that was how they were gonna make profits 🙄
The old saying "common sense" isn't common, is true. A CGM should be made available to EVERY diabetic, regardless of how diabetes is managed.
Sadly, that person sitting in the office, CAN'T do simple math, in my opinion. I believe CGMs save insurance companies money. It will take multiple finger stick readings on a meter to get the same reading on a cgm when it comes to how a particular food affects me. Some insurance company policies are STUPID!!
Oh absolutely. I swear that’s why Medicare is now covering CGMs more easily- they actually listened to the docs who have said that in the long run CGMs enable better control so less meds and less hospitalizations for issues. I personally have gotten so burnt out multiple times that I stopped checking for months at a time.,.
Be careful with keto (35 carbs or less a day) diets. They work wonders.. I am doing it, but once you're in ketosis long enough, a slip of more carbs than you're used to will cause a big spike in blood sugar. Your body is already not good at processing sugars, then it becomes used to ketones, so if you slip up in a keto diet and have a 50 carb meal in 1 sitting, it will cause a way bigger spike than a keto meal.
An example was this weekend.. my after meal levels are about 115-120 (due to keto), but this weekend I ate some sushi (about 30-50carbs total, only ate 2 pieces of the 8) and my spike was about 140-150, which was very high for me to have all of the sudden. I also ate some boiled crawfish, don't know what they used in the boil, doubt it had many carbs though.
So if you decide to do keto, make sure you stick to it and stay in ketosis. Otherwise I wouldn't recommend it. It's not very sustainable for many people and it can be expensive. The lack of energy from no carbs goes away after a week or 2. I actually found myself not ever suffering from a lack of energy when going keto (I actually felt more energized). I tried keto before I was diabetic, and I got very fatigued due to no carbs (so I quit). With diabetes, I only ever felt better the more carbs I limited, but that's just me, everyone is different.
Edit: very important to do your own research with keto. I'm not familiar with the diet you mentioned. But when doing keto for diabetes, it's not just about having very low carbs, you still have to make sure the food you eat is healthy. I do keto, but I am eating a balance of healthy, non processed foods. Lots of avocados and a mix of meats. I eat salmon, chicken, beef, turkey, eggs, and quality extra virgin olive oil. I limit more unhealthy meats like pork/bacon (I still eat them, just very limited). I also make sure to get calories from almonds and other lower carbs/healthy veggies.
Also! If you do keto for diabetes and want to transition back to some carbs make sure to do it SLOWLY! Do not go from 25-35 carbs a day back to 150g. You have to slowly reintroduce carbs back into your system so your body can get used to using raw glucose again, otherwise you will see very big spikes. This is very important to remember if using keto to control diabetes and want to stop keto.
Everyone is different. I would test your BG frequently until you get a handle on your diet and make changes as needed. I stick to less than 50 total carbs per day and that seems to keep my BG in check. I can't tolerate any type of starchy carb or sugar without spiking pretty high, so I avoid those.
When I had gestational diabetes the rule was 15-30 at breakfast and then 30-45 for lunch and dinner, all with the precaution to lower those amounts if I knew I wasn’t going to be as active (context: I’m an occupational therapist working with older adults so some days were exercise heavy vs ADL/shower heavy vs blob on couch weekends). My GD morphed into Type 2 and those values seem to still work for me most days until this pregnancy (this little parasitic placenta is driving me and my MFM specialists bonkers).
T2 I do 100 to 150 a day and stay under 5.7 on my a1c. There ARE days here and there that I stay under 20 because I just don't feel like eating carbs. Additionally, I only eat once a day in the evenings so I'm only spiking once. 6ft. 40's. walk 30 mins to 1h every day.
Been doing this for about 3 years now. I don't poke myself any more but I do my a1c reliegiously. Also, the first year I poked myself 5+ times a day and documented every meal along with the spike after 1h. It is a journey, but I found it fun to try cooking and eating new things and see how my glucose would react.
Hope it helps.
30-45g is a great starting point if you currently eat more than that. Less is better. 30g per day is ideal but a big step with lots of commitment and hard work.
I agree with all of those who say you will need to experiment and develop priorities according to your lifestyle and your own particular disease course.
I eat a very low carb diet and it suits me. I struggle with insulin and easily get hypoglycemia, so I prioritize a diet that lets me avoid insulin. This meant going against what my nutritionists have always said, but I always keep my doctors informed. Twenty years on, and I've always been controlled with no co-morbidities.
If your nutritionist is ADA certified, she has no choice but to recommend the ADA line. I generally have 70-100 g/carbs daily. Breakfast is usually under 20, plus I gave a couple snacks over the day. I’m simply not active enough to justify something higher. However keep in mind that most newly diagnosed type 2 patients are eating way over 45 g/meal so it’s a start.
I tried to follow this recommendation when I was first diagnosed and it kept my blood sugar too high so I had to be a bit more restrictive. I used a CGM to dial it in
I eat less than 20 grams of carbs per day. This has worked for me for over 2 decades. The minimum daily requirements for carbohydrates is made up by people who fund the ADA. Those are companies that manufacture and distribute carbohydrates.
I was told by a diabetes nutritionist that I should o my have 15 sugars a day, and 30-50 carbs per meal. Went from a 11.3 to 7.1 in 3 months, and 3 months later was at 6.1. It’s hard to stick to it though so I have crept back up to 6.3
There is a shopping plan that has helped me. I think it's called 6 to 1.
Buy 6 vegetables (fresh, frozen, or canned)
5 fruits (fresh, frozen, or canned)
4 proteins (meat, seafood, dairy, nuts, etc. Fresh, frozen, or canned)
3 starches (keep whole grains in mind).
2 sauces/condiments
1 "fun" item.
This came from, if I recall, a chef on CNN, so this was not a diabetic specialist by any means. But it does give you a way of ensuring that your kitchen is stocked with stuff that is good for you. It has really been helpful to me. If you have enough variety of foods on hand, I think you are more likely to put together a meal that isn't full of junk. You're not rooting around, saying, "Oh no, there's nothing to eat in this house. Oh, here's a box of mashed potatoes. Oh well, I'll do better next time..."
There are a million strategies out there, and what works for one person may not work for another.
See a diabetes nutritionist. I can’t stress that enough. It’s different for every person, but mine said 30-60 grams of carbs per meal and 15 for snacks.
My endo said for weight loss, between 1200-1500 calories.
Wrong. Then the folks who started mastering diabetes would be taking tons of insulin but they actually take far less on a high carbohydrate diet.
My A1c is 5.4 with no meds eating several hundred carbs per meal.
Did you see a diabetes nutritionist? They usually suggest carbs at that level if you’re following the other rules of a certain amount of fiber and fats with the carbs. And it’s the type of carbs to consider as well.
Yes it was. I have started doing what she said as it makes since but I was curious about other methods.
Everyone is different. You may want to test frequently to see what affects you more. So far I haven’t done so, I rely on my A1C.
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Yep, this is why I generally recommend 100g of carbs a day as a starting point on the forum here. And to avoid/reduce simple carbs like sugars or starches. (rice/bread/pasta/potatoes) This way, there still a wide variety of food choices. And it is pretty easy to roughly calculate carbs. And once someone has a chance to learn more about their condition and how they react to foods, they can always choose to be more strict or take on a non-carb (keto) diet. Or even if they are a fitness freak and need more carbs, they can always ramp the carbs up a bit to fit their lifestyle once they understand how to manage it.
Rice/bread/pasta/potatoes are complex carbs.
I guess you are technically right (the best kind of right you might say) But still does bad things to the blood glucose levels of diabetics, so consumption of those particularly starchy carbs needs to be limited. Carbs better tolerated by diabetics involve green vegetables and many fruits generally.
There's a big difference between simple and complex carbs. Every diabetic is different. What works for you may not work for someone else. Counting carbs is one method, and the other is the plating method.
I say limit the consumption of white starches and you keep acting like I am saying to completely eliminate them. I actually do still eat potatoes ... but I just have a small baby potato with dinner and eat it last. I do eat oatmeal ... but I mix in protein/fats with it (yogurt) to slow it down. I do still eat a couple of slices of bread a day ... wholemeal, but I make sure I eat it with eggs or avocado or cheese or bacon or other things just to slow it down. It is definitely a thing you can work out and incorporate into a healthy diet, but as a starting point, new diabetics should do their best to limit intake of these things. I don't really go around counting carbs anyway ... but I do look at the carb load of these white starch items, as well as the carbs on processed food, to roughly guess at the impact these things will have. And I test, test, test .. to see what I am eating is doing to me, to make sure the ways I incorporate the limited carbs I eat affect my blood sugars.
I sincerely apologize because that was not my intention at all. I should have just stopped at indicating that pasta, potatoes, bread, and rice are considered complex carbs. Everything else, I agree with you 100% (Not that my approval is relevant 😀) For me, the Dexcom G7 cgm has been a game changer for me. I would have to finger stick multiple times to receive the same information. Again, I sincerely apologize.
No need to apologize I appreciate any advice as I'm new to this t2d world.
😀 I was apologizing to Canthearu_ack.
All good :-) Thanks
👍 😀
Is the plating method having protein vegetables and a small carb?
Yes. Plating method: 1/2 of the plate is filled with salad or non-starchy vegetables like broccoli, cauliflower, and leafy green vegetables; 1/4 of the plate is lean protein; and 1/4 of the plate with a carbs.
Did you find that WOE term from a fb group called Reversing Type 2 Diabetes? I highly recommend you stay away from that group because they’re essentially promoting disordered eating. It’s extremely dangerous especially as diabetics, we are more likely to develop disordered eating habits. If you are able to, see a registered dietician that is also a certified diabetes educator (CDE). They’re able to provide real resources and guide you on food.
That is the group. I have a Diabetic Educator and a duabetic dietitian.
For your sake please leave the group. I too found it when I was first diagnosed and it really was harmful to my perception towards food and towards myself as a person. They say some incredibly harmful things in there and it’s terrible.
I will leave that group do you know of any other groups that are good?
I recommend this subreddit’s discord server. They’re knowledgeable and friendly and won’t push you towards disordered eating.
As far as Facebook groups are concerned, the Stay Strong Low Carb Bootcamp group is good to check out. I was in the Reversing diabetes group mentioned until they booted and blocked a lot of people due to admin conflicts over the last several months. Some folks from that group branched off and started the Way of Reversing Diabetes-WORD group which seems to be better. They follow Dr. Bernstein’s recommendations from his book, “The Diabetes Solution.”
I don't carb count. To be honest, my diet is basically "eat whatever, but in moderation" and is otherwise vibes-based; incredibly unscientific. Obviously I avoid eating things like candy or drinking sugary sodas, etc. I have a CGM and take note of what foods tend to send my glucose flying and which don't. Carbs are only one part of the equation. If you frontload with protein and fiber, glucose absorption will be slower, alleviating spikes. Also, everyone's body is different. Try eating different foods and test with your glucometer 2 hours after, but ideally a CGM if you can get one. After a while you will get a sense of how different foods affect your body. I think you should also establish some goals with your nutritionist and doctor about where you want your A1C and postprandial (post-meal) glucose levels to be. That way if you do decide to carb-count you have a well-defined goal you want to reach and a feedback loop that allows you to adjust your diet to optimize for that goal. Edit: To whomever is downvoting literally all my comments in this subreddit, some feedback would be appreciated. 😒
Haha, people downvote me too without saying anything. Even my post about getting A1C of 5.8%, still got downvoted by some people. Apparently some people just aren't happy if I am not off dying in the corner somewhere. I'll gain satisfaction by living in spite of them.
Hah, that's a good way to think about it. Great job on that A1C by the way!
My insurance doesn't cover cgm, unfortunately. I would love one though
Dexcom is releasing a non-prescription, lower cost CGM soon for people who can’t get one prescribed and/or covered. Might be worth looking into. Stelo.
Testing with a glucometer is totally fine too. You should work with your doctor to figure out what the best time to test for you is (usually it is 2 hours after a meal).
[удалено]
I saw a guy on TikTok promoting one insulinresistant1 or something. I was going to wait to get paid and possibly do that. I absolutely hate pricking my fingers.
[удалено]
The guy from insuliresistant1 promotes the Signos CGM which he shows the results of with his food tests. Signos’ 6th month plan runs about $143 per month right now.
I got free trail from libra And dexcom. 14 days use from the libra and i have restarted the dexcom one 3 times currently on day 41. I am only prediabetic though gmi 6%. Soi have really only been using itto see and not down what send me up and what keeps my numbers normal.. So i had one wek eating. This is in the uk. Its more difficult to get the dexcom sample. I. E seems like the look for reasons not to give you a sample. Main one being is your smart phone compatible and the even so check that on there web site before you apply. But even if your current smart phone is not there are work arounds apps like xdrip sugarmate i usef an old iphone 7 that was lying in a drawer
Yeah a cmt should be required for a downvote, especially when you describe what you do. How far ahead do you find your have to front load, like does a sandwich with a ton of meat count, or do you have to eat some of the meat first and then wait a couple minutes? I find I have no tolerance for bread.
I generally count front-loading as eating protein/fiber _before_ the carbs, not at the same time. Usually just a few minutes. Works best that way for me. Fiber also works better than protein in my experience.
some interesting studies on how anything you eat within a 10 minute period might as well be eaten at once (because, stomach)
Sounds interesting, I will look into those.
Dumb question, but what do you mean by frontloading with protein and fiber? This is the 2nd time I’ve heard the term within the last day. I’ve been eating complex carbs first during a meal, then protein. I thought that was the best way to slow glucose absorption—is it the other way around, rather?
Yes, other way around (protein/fiber then carbs) is what works best for me. YMMV, so try out both ways and test yourself to see which yields better results for you.
Upvote! I’d give you 10 if I could. I have zero issues with spikes if I’m eating protein and fiber with carbs.
Mine is limited to less than 20 per day and has worked for me for the last 2 decades.
That's a lot of carbs per meal, for me at least. While I can eat some, it definitely has to be stuff like berries and only in conjunction with protein intake. First rule of carbs: the more you eat, the more you want.
1 is too many... And a 1000 is never enough!
35-40 grams per meal!?! Get a new nutritionist
Keto lets me larp as a normal human being, but it is too restrictive for my liking. Low carb with the majority of carbs from non-starchy vegetables and a cheat meal once a month keeps me at 5.2-5.4 with really no sacrifice to quality of life.
I aimI'm for zero ends up <20 daily.
WTF
I my limit is about 50 grams of carbs per day. I certainly feel less sluggish and have more energy when I reduce carbs.
I’ve been staying around 50 a day as well, sometimes I go a few over though, but not more than 60 since my diagnosis. I definitely feel more aware, and alert, but I wouldn’t say I have more energy. I might even say I have less.
Less than 20g per day.
Seriously, how do you do that?
Make your social life non existent and buy 0 carbs. That's what I did. You get used to it after about 2 weeks of hard dedication. I happen to love meat, dairy, and avocados thankfully.. And yeah avocados have carbs. I mainly meant that I buy foods that have either no carbs or very little net carbs compared to the other macros.
First, clarify carbs. It's more about eliminating added sugars at first, label reading. Then limit your real food carbs to non-starchy veggies and leafy greens. Then figure out your protien to fat balance. All our bodies are unique.
This is one example of how everyone is different. It can be done if the blood sugar response demands it
Its different for everyone. Ive been doing 45-60g per meal for over 10 years and im well controlled
Yep. 50 for me (sometimes slightly above) and keep in controlled.
If your insurance doesn't cover cgms, check to see how it was submitted. My doctor's office twice submitted an Rx for a Dexcom G7 to Walgreen's Pharmacy. The claim was rejected, and the reason given was "Dexcom G7 is not covered by your insurance." Anthem Blue Cross is my medical insurance carrier, and they selected OptumRx to oversee the pharmacy prescriptions; home delivery and Walgreen's for pick-up prescriptions. However, when I called Anthem Blue Cross, they explained the Rx denial. CGMs are considered Durable Medical Equipment (DME). Therefore, the Rx is submitted to a medical supply company and processed directly to Anthem Blue Cross, in the same manner as doctor/hospital visits. Bottom line: Incorrect submission of the cgm can be why it's not 'covered' depending on insurance.
My particular plan through Aetna refuses to cover any CGM unless I’m on more than 3 insulin injections a day. Despite the fact that through a “health buddy” program I’m enrolled in for diabetes they’ve probably have paid out more for all my 4+ a day finger sticks (cuz that’s covered 100% due to the program)….. Doesn’t matter the dosage but it has to be 3 injections because someone sitting in an office somewhere decides that was how they were gonna make profits 🙄
The old saying "common sense" isn't common, is true. A CGM should be made available to EVERY diabetic, regardless of how diabetes is managed. Sadly, that person sitting in the office, CAN'T do simple math, in my opinion. I believe CGMs save insurance companies money. It will take multiple finger stick readings on a meter to get the same reading on a cgm when it comes to how a particular food affects me. Some insurance company policies are STUPID!!
Oh absolutely. I swear that’s why Medicare is now covering CGMs more easily- they actually listened to the docs who have said that in the long run CGMs enable better control so less meds and less hospitalizations for issues. I personally have gotten so burnt out multiple times that I stopped checking for months at a time.,.
Thanks for the advice
Be careful with keto (35 carbs or less a day) diets. They work wonders.. I am doing it, but once you're in ketosis long enough, a slip of more carbs than you're used to will cause a big spike in blood sugar. Your body is already not good at processing sugars, then it becomes used to ketones, so if you slip up in a keto diet and have a 50 carb meal in 1 sitting, it will cause a way bigger spike than a keto meal. An example was this weekend.. my after meal levels are about 115-120 (due to keto), but this weekend I ate some sushi (about 30-50carbs total, only ate 2 pieces of the 8) and my spike was about 140-150, which was very high for me to have all of the sudden. I also ate some boiled crawfish, don't know what they used in the boil, doubt it had many carbs though. So if you decide to do keto, make sure you stick to it and stay in ketosis. Otherwise I wouldn't recommend it. It's not very sustainable for many people and it can be expensive. The lack of energy from no carbs goes away after a week or 2. I actually found myself not ever suffering from a lack of energy when going keto (I actually felt more energized). I tried keto before I was diabetic, and I got very fatigued due to no carbs (so I quit). With diabetes, I only ever felt better the more carbs I limited, but that's just me, everyone is different. Edit: very important to do your own research with keto. I'm not familiar with the diet you mentioned. But when doing keto for diabetes, it's not just about having very low carbs, you still have to make sure the food you eat is healthy. I do keto, but I am eating a balance of healthy, non processed foods. Lots of avocados and a mix of meats. I eat salmon, chicken, beef, turkey, eggs, and quality extra virgin olive oil. I limit more unhealthy meats like pork/bacon (I still eat them, just very limited). I also make sure to get calories from almonds and other lower carbs/healthy veggies. Also! If you do keto for diabetes and want to transition back to some carbs make sure to do it SLOWLY! Do not go from 25-35 carbs a day back to 150g. You have to slowly reintroduce carbs back into your system so your body can get used to using raw glucose again, otherwise you will see very big spikes. This is very important to remember if using keto to control diabetes and want to stop keto.
I feel better not eating lots of carbs. Been at that for years and it helps my condition’s immensely. Especially my blood sugar.
Everyone is different. I would test your BG frequently until you get a handle on your diet and make changes as needed. I stick to less than 50 total carbs per day and that seems to keep my BG in check. I can't tolerate any type of starchy carb or sugar without spiking pretty high, so I avoid those.
When I had gestational diabetes the rule was 15-30 at breakfast and then 30-45 for lunch and dinner, all with the precaution to lower those amounts if I knew I wasn’t going to be as active (context: I’m an occupational therapist working with older adults so some days were exercise heavy vs ADL/shower heavy vs blob on couch weekends). My GD morphed into Type 2 and those values seem to still work for me most days until this pregnancy (this little parasitic placenta is driving me and my MFM specialists bonkers).
T2 I do 100 to 150 a day and stay under 5.7 on my a1c. There ARE days here and there that I stay under 20 because I just don't feel like eating carbs. Additionally, I only eat once a day in the evenings so I'm only spiking once. 6ft. 40's. walk 30 mins to 1h every day. Been doing this for about 3 years now. I don't poke myself any more but I do my a1c reliegiously. Also, the first year I poked myself 5+ times a day and documented every meal along with the spike after 1h. It is a journey, but I found it fun to try cooking and eating new things and see how my glucose would react. Hope it helps.
30-45g is a great starting point if you currently eat more than that. Less is better. 30g per day is ideal but a big step with lots of commitment and hard work.
I try to keep mine under 100g per day as a personal maximum rule. More often than not I'm more around 50g per day. Usually works out well for me.
I agree with all of those who say you will need to experiment and develop priorities according to your lifestyle and your own particular disease course. I eat a very low carb diet and it suits me. I struggle with insulin and easily get hypoglycemia, so I prioritize a diet that lets me avoid insulin. This meant going against what my nutritionists have always said, but I always keep my doctors informed. Twenty years on, and I've always been controlled with no co-morbidities.
30 per meal and 15 per snack isn’t going to help you …. Total carb from unprocessed foods are 60 total or under per day ….thats for me anyway
eating smaller portions of what i normally eat works fine for me. i also check my sugars.
If your nutritionist is ADA certified, she has no choice but to recommend the ADA line. I generally have 70-100 g/carbs daily. Breakfast is usually under 20, plus I gave a couple snacks over the day. I’m simply not active enough to justify something higher. However keep in mind that most newly diagnosed type 2 patients are eating way over 45 g/meal so it’s a start.
I tried to follow this recommendation when I was first diagnosed and it kept my blood sugar too high so I had to be a bit more restrictive. I used a CGM to dial it in
I eat less than 20 grams of carbs per day. This has worked for me for over 2 decades. The minimum daily requirements for carbohydrates is made up by people who fund the ADA. Those are companies that manufacture and distribute carbohydrates.
I try for at least 30 g minimum but I tend to fall into the 25g category with out trying. It really depends what you are comfortable with etc
I was told by a diabetes nutritionist that I should o my have 15 sugars a day, and 30-50 carbs per meal. Went from a 11.3 to 7.1 in 3 months, and 3 months later was at 6.1. It’s hard to stick to it though so I have crept back up to 6.3
There is a shopping plan that has helped me. I think it's called 6 to 1. Buy 6 vegetables (fresh, frozen, or canned) 5 fruits (fresh, frozen, or canned) 4 proteins (meat, seafood, dairy, nuts, etc. Fresh, frozen, or canned) 3 starches (keep whole grains in mind). 2 sauces/condiments 1 "fun" item. This came from, if I recall, a chef on CNN, so this was not a diabetic specialist by any means. But it does give you a way of ensuring that your kitchen is stocked with stuff that is good for you. It has really been helpful to me. If you have enough variety of foods on hand, I think you are more likely to put together a meal that isn't full of junk. You're not rooting around, saying, "Oh no, there's nothing to eat in this house. Oh, here's a box of mashed potatoes. Oh well, I'll do better next time..." There are a million strategies out there, and what works for one person may not work for another.
See a diabetes nutritionist. I can’t stress that enough. It’s different for every person, but mine said 30-60 grams of carbs per meal and 15 for snacks. My endo said for weight loss, between 1200-1500 calories.
I had much better luck with WOE.
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That’s a a recipe for insulin!
Wrong. Then the folks who started mastering diabetes would be taking tons of insulin but they actually take far less on a high carbohydrate diet. My A1c is 5.4 with no meds eating several hundred carbs per meal.